Individual
DR. JUAN ANTONIO OTANO VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
454 ROAD KM. 1.5, BO. CALLEJONES, LARES, PR 00669
(787) 232-5881
Mailing address
2 MUNOZ RIVERA, PMB 220, LARES, PR 00669
(787) 232-5881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22451
PR
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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